| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
136 |
118 |
$77.28 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
73 |
67 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
56 |
26 |
$0.00 |
| 3008F |
|
214 |
174 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
84 |
68 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
35 |
30 |
$0.00 |